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Ophthalmoplegic Migraine

Ophthalmoplegic migraine (also known as an ocular migraine) is a very uncommon type of headache. Precisely, in this type of a migraine, pain is majorly localized around the eye region.  It has an very sporadic pattern of occurrence, yet when it does occur, most affects the infants and toddlers. Consequently, causing deformities in the muscle that controls the movement of the eyeball.

The aura of ocular migraine includes multiple disorders, such as severe head pain, dilation of the eye pupils, and difficulty in moving of the eyeballs. Also, spasm of eyelids can occur as well, which as a result may cause paralysis of the eye. This symptoms and warning signs might be telling you that you are suffering from an aneurysm or pressure on the nerves behind the eye, therefore you should immediately contact your doctor. No need for panic, but a visit to the doctor is mandatory, because these conditions are very serious.

Additionally, other symptoms of this rare type of migraine include a droopy eyelid, double vision, or other vision changes. The first occurrence of an ophthalmoplegic migraine typically takes place during childhood. But intermittent attacks may persist into adulthood.


Acute and severe Headache around the Eye region

Specifically, the major characteristics of an ophthalmoplegic migraine are a typically sharp and pounding headache. The pain stretches majorly around the eye socket, but this symptom we can observe in small kids of less than 1 year of age. Although the first attack of an ocular migraine usually occurs in childhood, the disorder may present in adulthood.

ophthalmoplegic migraine pain around the eye

Abnormalities of Eyelid the pupils

Drooping of the eyelid on the affected side in an ophthalmoplegic migraine patient is a key symptom of this rear illness. This disorder may take weeks for the eye to regain full recovery and take its normal shape and function. An ophthalmoplegic migraine usually involves the oculomotor nerves of the eye, the nerve is known for controlling the muscles which determine the size of the pupils, in ophthalmoplegic migraine, paralysis of this muscle does occur, resulting to the formation of extremely large pupils. As functional pupils will be smaller in bright light, in an ophthalmoplegic migraine patient, the pupil has no reaction to light intensity and brightness.

Visual impairment

The paralysis of the oculomotor nerves causes a positional problem in the affected eyes. The hallmark positioning of the oculomotor nerves after its paralysis is ‘down and out,’ in which the eyeball becomes stiffened downward and towards outside. Other visual complications may results because the paralysis of other muscles controlled by the oculomotor nerves, the loss of control in these other related muscles hinders the coordinated movement of the eyeballs together, this often results to double vision and at times to blur vision